Individual
MR. KEITH NOBLE BIRCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
387 UNION ROAD 434, SMACKOVER, AR 71762-9409
(870) 725-4416
Mailing address
387 UNION ROAD 434, SMACKOVER, AR 71762-9000
(870) 725-4416
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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